Shannon C Mitchell, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SPA5024 Issued in CA

Practice address

22672 Lambert St Ste 611
Lake Forest, CA 92630-1613

Phone

(949) 329-8161

NPI assigned

Jan 30, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grace Speech Therapy Corp

  • Behavior Analyst
  • Lake Forest, CA
  • NPI 1942833660

  Speech-Language Assistant

  NPD
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1699129601
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1588427967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GAVILAN",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926881600",
            "telephone_number": "949-842-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22672 LAMBERT ST STE 611",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301613",
            "telephone_number": "949-329-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SHANNON",
        "middle_name": "C",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA5024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misurgical Multispecialty Medical Group
• Melody G. Mitchel, CPNP
• Jaslyn Mitchell
• Lesli Denise Mitchell, LCSW
• Peter Mitchell, PT, DPT
• MLSG Corp
• Soudabeh Moayedghyasy, D.M.D
• Mobility Physical Therapy, Inc.
• Mobility Professionals, Inc
• Mobility Professionals, Inc.

• Speech-Language Assistant in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.